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Department of Cardiovascular Dynamics, National Cardiovascular Center Research Institute, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan
Although neck suction has
been widely used in the evaluation of carotid sinus baroreflex function
in humans, counteraction of the aortic baroreflex tends to complicate
any interpretation of observed arterial pressure (AP) response. To
determine whether a simple linear model can account for the AP response
during neck suction, we developed an animal model of the neck suction
procedure in which changes in carotid distension pressure during neck
suction were directly imposed on the isolated carotid sinus. In six
anesthetized rabbits, a 50-mmHg pressure perturbation on the carotid
sinus decreased AP by
27.4 ± 4.8 mmHg when the aortic
baroreflex was disabled. Enabling the aortic baroreflex significantly
attenuated the AP response (
21.5 ± 3.8 mmHg, P < 0.01). The observed closed-loop gain during simulated neck suction
was well predicted by the open-loop gains of the carotid sinus and
aortic baroreflexes using the linear model (
0.43 ± 0.13 predicted vs.
0.41 ± 0.10 measured). We conclude that the
linear model can be used as the first approximation to interpret AP
response during neck suction.
systems analysis; closed-loop gain; open-loop gain; rabbits
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